| NPI | 1770203671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN WALSH Manager 617-877-6679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 261Q00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-09-19 |